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Christiania Viola Edstrom
Student in an Organized Health Care Education/Training Program in Pembroke Pines, Florida
NPI 1558065417

Christiania Viola Edstrom is a Student in an Organized Health Care Education/Training Program based in River Ridge, FL. Christiania Viola Edstrom practices in Pembroke Pines, FL. The NPI Number for Christiania Viola Edstrom is 1558065417 and holds a License No. (Florida).

The current practice location address for Christiania Viola Edstrom is 703 N Flamingo Rd, Pembroke Pines, FL and can be reached out via phone at 954-518-5936.

Location: 703 N Flamingo Rd, Pembroke Pines, FL, 70123-2505
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558065417
Provider Name
Christiania Viola Edstrom
Credential
Provider Entity Type
Individual
Gender
Female
Address
703 N Flamingo Rd, Pembroke Pines, FL, 70123-2505
Phone Number
954-518-5936
Fax Number
Provider Enumeration Date
03/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
703 N Flamingo Rd
City
Pembroke Pines
State
Florida
Zip
33028-1006
Phone Number
954-518-5936
Fax Number
person
Provider Business Mailing Address Details
Address
703 N Flamingo Rd
City
Pembroke Pines
State
Florida
Zip
33028-1006
Phone Number
954-518-5936
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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